|
Sp bone agrft morsel add-on
|
$406.40 |
$406.40 |
$406.40 |
$406.40
|
|
Sp bone agrft struct add-on
|
$442.40 |
$442.40 |
$442.40 |
$442.40
|
|
Sp bone algrft morsel add-on
|
$291.20 |
$291.20 |
$291.20 |
$498.55
|
|
Special casting material
|
$47.20 |
$47.20 |
$47.20 |
$47.45
|
|
Special physics consult
|
$261.60 |
$261.60 |
$261.60 |
$725.00
|
|
Special pump services
|
$928.00 |
$928.00 |
$928.00 |
$901.60
|
|
Special pump services
|
$649.60 |
$649.60 |
$649.60 |
$548.80
|
|
Special pump services
|
$464.80 |
$464.80 |
$464.80 |
$392.00
|
|
Special radiation dosimetry
|
$129.60 |
$129.60 |
$129.60 |
$392.73
|
|
Special radiation treatment
|
$561.60 |
$561.60 |
$561.60 |
$2,045.50
|
|
Special supplies phys/qhp
|
$90.40 |
$90.40 |
$90.40 |
$60.00
|
|
Special teletx port plan
|
$226.40 |
$226.40 |
$226.40 |
$1,086.99
|
|
Specific gravity body fluid
|
$33.57 |
$33.57 |
$33.57 |
$22.00
|
|
Specimen fat stain
|
$56.44 |
$56.44 |
$56.44 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$432.00 |
$432.00 |
$432.00 |
$380.00
|
|
Speech audiometry complete
|
$83.20 |
$83.20 |
$83.20 |
$109.20
|
|
Speech evaluation complex
|
$228.00 |
$228.00 |
$228.00 |
$527.06
|
|
Speech recep thresh
|
$53.60 |
$53.60 |
$53.60 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$248.84 |
$248.84 |
$248.84 |
$248.84
|
|
Sperm antibody test
|
$56.44 |
$56.44 |
$56.44 |
$57.85
|
|
Sperm evaluation test
|
$49.60 |
$49.60 |
$49.60 |
$27.03
|
|
Sperm identification
|
$109.60 |
$109.60 |
$109.60 |
$101.55
|
|
Sperm isolation complex
|
$140.80 |
$140.80 |
$140.80 |
$176.28
|
|
Sperm isolation simple
|
$104.80 |
$104.80 |
$104.80 |
$126.05
|
|
Sperm washing 58323
|
$38.40 |
$38.40 |
$38.40 |
$238.06
|
|
Sphenoid sinus surgery
|
$3,276.80 |
$3,276.80 |
$3,276.80 |
$6,547.81
|
|
Sphincteroplasty inc/prolapse adult 46750
|
$1,876.80 |
$1,876.80 |
$1,876.80 |
$3,245.23
|
|
Spinal bone allograftstructural 20931
|
$266.40 |
$266.40 |
$266.40 |
$266.40
|
|
Spinal bone autograftlocal 20936
|
$309.60 |
$309.60 |
$309.60 |
$424.20
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$635.20 |
$635.20 |
$635.20 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$220.98 |
$220.98 |
$220.98 |
$251.40
|
|
Spirmtry w/brnchdil inf-2 yr
|
$316.00 |
$316.00 |
$316.00 |
$368.50
|
|
Spirometry up to 2 yrs old
|
$194.40 |
$194.40 |
$194.40 |
$242.25
|
|
Spleen imaging
|
$463.20 |
$463.20 |
$463.20 |
$679.00
|
|
Splenectomy total open 38100
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
$2,166.00
|
|
Splint arm vnyl coated padded lft med
|
$48.00 |
$48.00 |
$48.00 |
$48.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$881.60 |
$881.60 |
$881.60 |
$392.09
|
|
Splint finger 4 prong foam sm
|
$20.80 |
$20.80 |
$20.80 |
$34.00
|
|
Splint fing stax assort 1-7in
|
$5.60 |
$5.60 |
$5.60 |
$5.60
|
|
Splint rstrc wrst/cmc right med
|
$196.00 |
$196.00 |
$196.00 |
$100.00
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$2,092.80 |
$2,092.80 |
$2,092.80 |
$4,687.20
|
|
Split blood or products
|
$164.99 |
$164.99 |
$164.99 |
$129.50
|
|
Splt agrft f/s/n/h/f/g/m ea
|
$516.00 |
$516.00 |
$516.00 |
$1,612.78
|
|
Spontaneous nystagmus study
|
$52.80 |
$52.80 |
$52.80 |
$130.65
|
|
Sprchoroidal spc njx rx agt
|
$313.60 |
$313.60 |
$313.60 |
$454.19
|
|
Sputum specimen collection
|
$180.00 |
$180.00 |
$180.00 |
$180.00
|
|
Srs cranial lesion complex
|
$3,244.00 |
$3,244.00 |
$3,244.00 |
$3,244.00
|
|
Srs cranial lesion simple
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
$3,145.05
|
|
Srs cran les complex addl
|
$711.20 |
$711.20 |
$711.20 |
$711.20
|
|
Srs cran les simple addl
|
$719.20 |
$719.20 |
$719.20 |
$719.20
|
|
Srs linear based
|
$1,856.80 |
$1,856.80 |
$1,856.80 |
$14,124.25
|
|
Srs multisource
|
$2,114.40 |
$2,114.40 |
$2,114.40 |
$35,192.81
|
|
Srs spinal lesion
|
$2,631.20 |
$2,631.20 |
$2,631.20 |
$2,631.20
|
|
Srs spinal lesion addl
|
$591.20 |
$591.20 |
$591.20 |
$591.20
|
|
Staggered spondaic word test
|
$100.80 |
$100.80 |
$100.80 |
$253.00
|
|
St analysis behavior qualitative voice/resonance
|
$304.54 |
$304.54 |
$304.54 |
$295.10
|
|
Staph a dna amp probe
|
$87.20 |
$87.20 |
$87.20 |
$125.00
|
|
St cognitve performance testing healthcare professional each hour
|
$243.20 |
$243.20 |
$243.20 |
$281.00
|
|
Stem cells total count
|
$156.00 |
$156.00 |
$156.00 |
$184.00
|
|
Stenger test pure tone
|
$39.20 |
$39.20 |
$39.20 |
$77.84
|
|
Stenger test speech
|
$40.80 |
$40.80 |
$40.80 |
$404.25
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$70,321.60 |
$70,321.60 |
$70,321.60 |
$21,626.50
|
|
Stent bili dbl pgtl 10fx5cm
|
$254.28 |
$254.28 |
$254.28 |
$2,649.79
|
|
Stent iliac/open or perc/uni/init 37221
|
$18,936.00 |
$18,936.00 |
$18,936.00 |
$14,770.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$9,276.80 |
$9,276.80 |
$9,276.80 |
$8,985.00
|
|
Stent placemt retro carotid
|
$5,328.00 |
$5,328.00 |
$5,328.00 |
$5,328.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$49,374.40 |
$49,374.40 |
$49,374.40 |
$17,892.00
|
|
Stereoscopic x-ray guidance
|
$136.00 |
$136.00 |
$136.00 |
$136.00
|
|
Stereotactic bx aspir/exc burr intracranial les 61750
|
$3,308.00 |
$3,308.00 |
$3,308.00 |
$3,308.00
|
|
Stereotactic radiation trmt
|
$845.60 |
$845.60 |
$845.60 |
$845.60
|
|
Sterile water/saline, 10 ml
|
$1.20 |
$1.20 |
$1.20 |
$13.32
|
|
Sternal debridement
|
$1,318.40 |
$1,318.40 |
$1,318.40 |
$1,318.40
|
|
St evaluate speech sound production
|
$216.72 |
$216.72 |
$216.72 |
$289.20
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$204.00 |
$204.00 |
$204.00 |
$396.90
|
|
Stimulants synthetic
|
$36.00 |
$36.00 |
$36.00 |
$80.08
|
|
Stimulation of spinal cord
|
$1,359.20 |
$1,359.20 |
$1,359.20 |
$2,310.83
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$1,645.34 |
$1,645.34 |
$1,645.34 |
$1,350.05
|
|
Storage/year embryo(s)
|
$236.00 |
$236.00 |
$236.00 |
$236.00
|
|
Storage/year oocyte(s)
|
$236.00 |
$236.00 |
$236.00 |
$236.00
|
|
Storage/year reprod tissue
|
$220.00 |
$220.00 |
$220.00 |
$220.00
|
|
Storage/year sperm/semen
|
$236.00 |
$236.00 |
$236.00 |
$207.35
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$2,723.50
|
|
Strapping of ankle and/or ft 29540
|
$230.08 |
$230.08 |
$230.08 |
$223.45
|
|
Strapping of chest
|
$194.15 |
$194.15 |
$194.15 |
$194.46
|
|
Strapping of elbow or wrist 29260
|
$152.00 |
$152.00 |
$152.00 |
$157.46
|
|
Strapping of hand or finger
|
$153.60 |
$153.60 |
$153.60 |
$177.45
|
|
Strapping of hip
|
$193.96 |
$193.96 |
$193.96 |
$164.70
|
|
Strapping of knee
|
$243.64 |
$243.64 |
$243.64 |
$205.20
|
|
Strapping of toes 29550
|
$131.65 |
$131.65 |
$131.65 |
$164.70
|
|
Strep a ag ia
|
$38.58 |
$38.58 |
$38.58 |
$75.40
|
|
Strep a dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
$96.72
|
|
Strep a dna quant
|
$104.80 |
$104.80 |
$104.80 |
$75.60
|
|
Strep b assay w/optic
|
$32.00 |
$32.00 |
$32.00 |
$58.95
|
|
Strep b dna amp probe
|
$87.20 |
$87.20 |
$87.20 |
$124.15
|
|
Streptokinase antibody
|
$25.60 |
$25.60 |
$25.60 |
$25.60
|
|
Streptomycin injection
|
$73.60 |
$73.60 |
$73.60 |
$138.30
|
|
Stress test pulmonary
|
$266.04 |
$266.04 |
$266.04 |
$324.00
|
|
Stress tte complete
|
$523.20 |
$523.20 |
$523.20 |
$1,820.70
|
|
Str markers spec anal addl
|
$610.40 |
$610.40 |
$610.40 |
$479.17
|
|
Str markers specimen anal
|
$483.20 |
$483.20 |
$483.20 |
$751.50
|
